14D2054704 CLIA NUMBER - WICKER PARK EYE CENTER (DBA) LOTUS EYE CARE

Laboratory Demographics

  • CLIA Code: 14D2054704
  • Facility Name: WICKER PARK EYE CENTER (DBA) LOTUS EYE CARE
  • Facility Address: 2222 W DIVISION ST, STE 135
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 376-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL TEPPER M D
  • NPI Number: 1699943316
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2054704
LAB Type Physician Office
Facility Name WICKER PARK EYE CENTER (DBA) LOTUS EYE CARE
Street 2222 W DIVISION ST, STE 135
City CHICAGO
State IL
ZIP 60622
Phone 773 376-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director DANIEL TEPPER M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025